Active NPI
Jacob Levinski, DC
- Chiropractor
- White Bear Lake, MN
National Provider Identifier
1669248878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7151
- Practice address
- 3580 Linden Ave
White Bear Lake, MN 55110-4625 - Phone
- (651) 779-4263
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7151 | MN | Primary |
Addresses
Primary practice location
3580 Linden Ave
White Bear Lake, MN 55110-4625
Mailing address
3580 Linden Ave
White Bear Lake, MN 55110-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3580 Linden Ave
Suite 200
White Bear Lake, MN 55110-4700
Phone (651) 779-4263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMMS Holdings, PLLC | Chiropractor | Current | Accepting new patients |
| Wildwood Chiropractic Center PA | Chiropractor | Past | Accepting new patients |
Locations
3580 Linden Ave
Ste 200
White Bear Lk, MN 55110
Phone (651) 779-4263
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wildwood Chiropractic Center
- Chiropractor
- White Bear Lake, MN
- NPI 1326773748
-
- Chiropractor
- White Bear Lake, MN
- NPI 1306827118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1669248878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 LINDEN AVE",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 LINDEN AVE",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104625",
"telephone_number": "651-779-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSKI",
"first_name": "JACOB",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.